Effectiveness Study of Community-Based, Peer-Led Education on Weight Loss and Diabetes (HEED)

October 22, 2014 updated by: Icahn School of Medicine at Mount Sinai

Collaborations for Health Improvement in East Harlem-Project HEED

The purpose of this study is to compare the effectiveness of a peer-led community-based lifestyle intervention, versus usual care, in achieving weight loss and prevention of diabetes among overweight adults with pre-diabetes in East Harlem.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Weight loss can prevent diabetes and eliminate racial and ethnic disparities in incident diabetes among overweight adults with pre-diabetes. However, proven effective interventions have not been sustained or disseminated in community settings. A community-academic partnership aims to employ community-based participatory research to conduct a randomized controlled trial to test the effectiveness of a culturally tailored, peer-led diabetes prevention intervention that promotes weight loss.

People who develop diabetes go through a period when they have "pre-diabetes". In clinical settings, overweight adults with pre-diabetes who reduce their weight by 5-10% can reduce their risk of developing diabetes by 55-60%. To date, there are no studies testing the effectiveness of peer-led, community-based programs in achieving diabetes prevention through weight loss.

We will identify and enroll 400 overweight (BMI > 25) adults with pre-diabetes in East Harlem and randomized half into a community-based, peer-led lifestyle education program that teaches simple ways to lose weight.

Study Type

Interventional

Enrollment (Actual)

402

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New York
      • New York, New York, United States, 10029
        • Icahn School of Medicine at Mount Sinai

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • 18 years of age and older
  • Residents of East Harlem or members of an East Harlem Institution in zip codes 10029, 10035, OR in the section of 10037 east of Fifth Avenue
  • BMI ≥ 25 AND pre-diabetes glucose values, defined as fasting fingerstick glucose of 100-125mg/dl and/or glucose 2 hours after an oral glucose load of 140-199 mg/dl
  • Able to communicate verbally to participate in a group education class
  • English or Spanish speaking

Exclusion Criteria:

  • < 18 years
  • Previous diagnosis of diabetes
  • BMI <25
  • Fingerstick glucoses outside pre-diabetes level ranges
  • Currently pregnant
  • On medications that may raise or lower blood glucose
  • Cognitive or physical impairment that would preclude comprehension of a conversation and communicating as part of a group (i.e., dementia, deafness, inability to speak)
  • Self-reported terminal illness with life expectancy of less than 1 year
  • Plans to relocate from New York City within one year of enrollment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: PREVENTION
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: DOUBLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Peer-Led Lifestyle Education on Weight Loss

Project HEED (Help Educate to Eliminate Diabetes), a community-based, peer-led weight loss program for overweight adults with pre-diabetes.

The intervention group will participate in an 8-session course held over a 10-week period. Project HEED (Help Educate to Eliminate Diabetes), led by trained peer educators, aims to help participants lose weight, thereby preventing their progression to diabetes.
Behavioral: Peer-Led Lifestyle Education on Weight Loss
Project HEED (Help Educate to Eliminate Diabetes) is a bilingual lifestyle education program written at a 4th grade reading level, and contains simple, actionable, messages, is easily taught by lay leaders, and focuses on enhancing self-efficacy to make lifestyle changes. It consists of 8 sessions (1½ hours each) held over 10-weeks. Topics include diabetes prevention, finding and affording healthy foods, label reading, fun physical activity, planning a healthy plate, making traditional foods healthy, and portion control.
Other Names:
  • Project HEED
PLACEBO_COMPARATOR: Delayed Intervention
The control group will be offered the chance to participate in the 8-session course 1 year after enrollment into the trial.
Behavioral: Peer-Led Lifestyle Education on Weight Loss
Project HEED (Help Educate to Eliminate Diabetes) is a bilingual lifestyle education program written at a 4th grade reading level, and contains simple, actionable, messages, is easily taught by lay leaders, and focuses on enhancing self-efficacy to make lifestyle changes. It consists of 8 sessions (1½ hours each) held over 10-weeks. Topics include diabetes prevention, finding and affording healthy foods, label reading, fun physical activity, planning a healthy plate, making traditional foods healthy, and portion control.
Other Names:
  • Project HEED

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change in Weight From Baseline to 6 Months
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Fasting Fingerstick Glucose Measurement From Baseline to 6 Months
Time Frame: Change from Baseline to 6 Months
Change in sugar level as measured from fingerstick, at 6 Months as compared to Baseline
Change from Baseline to 6 Months
Change in Post-prandial Fingerstick Glucose From Baseline to 6 Months
Time Frame: Change in 6 Months from Baseline
Change in sugar level as measured from fingerstick after a meal, at 6 Months as compared to Baseline
Change in 6 Months from Baseline
Change in Systolic Blood Pressure From Baseline to 6 Months
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months
Change in Diastolic Blood Pressure From Baseline to 6 Months
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months
Waist Circumference
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months
LDL Cholesterol
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months
HDL Cholesterol
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months
Total Cholesterol
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months
Triglycerides
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months
HbA1c
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months
Energy Expenditure
Time Frame: Change from Baseline to 6 Months
percent energy expenditure
Change from Baseline to 6 Months
Fiber Intake
Time Frame: Change from Baseline to 6 Months
Change from Baseline to 6 Months
Physical Activity (Self-report)
Time Frame: 6 months
6 months
Knowledge & Attitudes About Diabetes Risk
Time Frame: 6 months
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Icahn School of Medicine at Mount Sinai

Collaborators

Albert Einstein College of Medicine
North General Hospital, New York
Union Settlement Association, New York

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2009

Primary Completion (ACTUAL)

July 1, 2011

Study Completion (ACTUAL)

September 1, 2012

Study Registration Dates

First Submitted

October 29, 2009

First Submitted That Met QC Criteria

October 29, 2009

First Posted (ESTIMATE)

October 30, 2009

Study Record Updates

Last Update Posted (ESTIMATE)

October 23, 2014

Last Update Submitted That Met QC Criteria

October 22, 2014

Last Verified

October 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • GCO 05-0463

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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